{
"Npi": {
"NPI": "1437324928",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NEW JERSEY IME ASSOCIATES, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "280 HAWTHORNE AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HADDONFIELD",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08033-1404",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "856-429-7383",
"MailingAddressFaxNumber": "856-429-7383",
"FirstLinePracticeLocationAddress": "979 N BLACK HORSE PIKE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WILLIAMSTOWN",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08094-1044",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "856-629-5151",
"PracticeLocationAddressFaxNumber": "856-629-0281",
"EnumerationDate": "04/25/2008",
"LastUpdateDate": "04/25/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MEETEER",
"AuthorizedOfficialFirstName": "FRANCIS",
"AuthorizedOfficialMiddleName": "C",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.O.",
"AuthorizedOfficialTelephoneNumber": "856-429-7383",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QX0100X",
"TaxonomyName": "Occupational Medicine Clinic/Center",
"LicenseNumber": "MB53375",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}